关于COPD健康不平等现状的最新情况
Jack Rea1, Jay Tyler Babek2, Reece M Anderson2
1Office of Medical Student Research, Oklahoma State University Center for Health Sciences, Tulsa, Oklahoma. jfenrea@gmail.com.
Respiratory care
|October 17, 2023
概括
在慢性阻塞性肺病 (COPD) 中对健康不平等的研究是有限的,特别是在LGBTQ+个人和农村人口中. 需要更多的研究来解决护理差异,并改善服务不足的COPD患者的健康结果.
科学领域:
- 肺部医学 肺部医学
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 慢性阻塞性肺病 (COPD) 不成比例地影响着服务不足的人群,突出了其治疗和预防方面的重大健康不平等.
- 解决护理障碍对于改善易受伤害的COPD患者群体的健康结果至关重要.
- 现有的研究往往忽略了影响COPD患者护理的特定社会决定因素.
研究的目的:
- 进行范围审查,确定影响美国COPD患者健康,医疗保健获取和质量的社会因素.
- 确定文献中关于COPD护理中的健康不平等问题的知识差距.
- 引导未来的研究方向,以解决COPD管理中的差异.
主要方法:
- 使用Ovid (Embase) 和MEDLINE (PubMed) 对2016-2021年发表的文章进行系统的文献搜索.
- 遵守乔安娜·布里格斯研究所和PRISMA-ScR指导方针进行范围审查.
- 查和提取19项符合COPD健康不平等性纳入标准的研究.
主要成果:
- 常被调查的社会因素包括种族/种族,收入和教育.
- 关于LGBTQ+个体 (1项研究),农村人口,性/性别以及COPD护理中的职业地位的研究有限.
- 在了解和解决各种COPD患者群体的健康不平等问题方面发现了重大差距.
结论:
- 对于影响COPD患者的健康不平等问题,有必要进行更多的研究.
- 未来的研究应该探索激素替代疗法对跨性别/非二进制COPD患者的影响.
- 推实施科学和远程医疗,以改善缺少服务的人群的COPD药物坚持和肺部康复机会.
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